RENEE SEUNGWON LEE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

ACTIVE

Business

Title

DMD

First Name

RENEE

Middle

SEUNGWON

Last Name

LEE

Business Name

RENEE SEUNGWON LEE DMD

Original Issue Date

06/03/2020

Effective Date

07/28/2024

Expiration Date

09/30/2027

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2024